Information about registration

  • Complete the form below to register yourself at Wagenborg in Delfzijl or Eemshaven
  • This registration is intended for both drivers and passengers

Registration Form

Your vehicle
Your personal details
Your first name
Your surname
Date and purpose
Date of your visit
What is the purpose of your visit
Name of the vessel for which the visit is intended
Passenger details
Passenger details * Are you travelling with passengers?
How many passengers are travelling along in your vehicle?
What is the first and last name of your passenger?
What is the first and last name of your passenger?
What is the first and last name of your passenger?
What is the first and last name of your passenger?
What is the first and last name of your passenger?
What is the first and last name of your passenger?
What is the first and last name of your passenger?
What is the first and last name of your passenger?
Upload your passenger list

Contact us

We are happy to help!